Tuesday, March 17, 2015

"The Start of a New Year" (1/1/14)

New Years Day: While some people are waking up to a terrible hangover and a big cup of coffee, I am waking up with puffy eyes and the hope that the days for Nathan only get better from here.  Nothing else matters in the world at this moment but him.  Getting to the NICU this morning, I was anxious to see how much urine he produced with the catheter being in.  From 8 pm last night to noon today, he produced 1.5 mL of urine.  That is not a lot and I just got even more scared.  I just wanted him to pee.  I never realized how important it was for people to pee until I got put in this situation.  It really is a matter of life and death and for all those parents out there that get frustrated when their child pees their pants, or wets their bed, or sprays you on accident because the cold air just got to them, just feel blessed.  I would love to be having those moments at home with my two sons right now, but I am here, waiting and praying for pee. 

You notice your interests change as you get older.  I went from wanting Barbie dolls to a kitchen aid, and now all I want is urine.  Other than the lack of urine he was producing, his sodium and potassium levels were better and his creatinine level did go up a bit but nothing ridiculous.  His nurse today was Tammy who he had never had before, and she took out the catheter at noon.  At his 2 pm care, he produced 2 mL and at 8 pm, he produced 3 mL.  So he is slowly getting some out but it still isn’t enough for his edema to go down. 

They did some more belly x-rays on him but he is so swollen that it is hard to see what all is happening inside his tiny body.   Dr. Valentine came to Kevin and I and told us that they were going to send the belly films over to Children’s Hospital to have the Doctors over there look at them and assess the situation.  They would determine if it was necessary for Nathan to get a drain put into his GI track to hopefully relieve some of the swelling.  This in turn would put less pressure on his lungs.  If they felt it necessary to do so, Nathan would get transferred over there to have the procedure done.  Dr. Valentine told us that she was worried about him because he got so sick so quickly and she admitted to us that a day or two ago, she was viewing Nathan as a minute by minute/hour by hour baby.  Now she said that since he is producing SOME urine, he is a day-by-day baby.  We obviously will take that over minute to minute but are going to be striving for week by week, then month my month and then year by year.

It seemed like every day was getting harder and harder.  Why hasn’t this roller coaster ride gone up in a while?  We are still down and continue to stay there.  I think my baby is absolutely beautiful, no matter what he looks like, but it was so hard to see him continue to get more and more swollen.  He couldn’t open his eyes anymore.  You couldn’t even see his eyelashes there were so covered with skin.  His skin just got more and more raw and flakey.  They didn’t even bother fastening his diaper sometimes because since he had pitting edema, it just would make an indent.  I loved him so much and since he couldn’t cry, I didn’t know if he was in pain, if he was just completely numb or what he was feeling.  I just hoped that he knew I was there with him and that I loved him with every ounce of my body.  I would do anything for that little guy but all I could do was love him and be with him.  I had to leave everything else up to the doctors.  It’s just such a hard pill to swallow knowing that you’re his mom and nothing you can do will cure him.

Holly had him again for the night shift.  She was so kind and sweet to him and thought he was just as beautiful as I thought he was.  When we weighed him at 8 pm, he weighed 1315 grams which is about 2.8 pounds.  I just wonder what he would weigh if he didn’t have his edema.  But other than waiting around for urine, we just have to wait and see what the Doctors at Children’s say to see if he will be getting transferred over there in the next day or two.  Another day is almost over.  Another Dr. Seuss story was read to my sweet boy.  I don’t want these stories to ever end.    
We survived the first day of 2014, which means we have 364 more days to look forward too with Nathan.  But once again, that would be up to him.

Nathan’s Nightly Update 1/1/14

Hello!

Last night at 8 pm, Nathan got a catheter.  He did have some urine come out of it.  From 8 pm last night to 12 noon today - he only produced 1.5ml.  I was scared.  But we did ring in the New year with him.  Kevin on one side of his incubator and I on the other.  Nathan squeezing both our fingers.  I, of course, started to cry at midnight because I want to end 2014 the way I started it, and that is with Nathan. 

But at his 4 pm care he did have 2 ml of urine so between 12 and 4 he produced a little more.  And then tonight at 8 pm he had 3 ml.  Getting better but we will see what he does in the next day or two.  He obviously is producing something so his kidneys are working a little bit, we just need them to work more and that is something only Nathan can do.  But we don't want him to pee too much (like 20ml+) because then its a chase to get all of his electrolytes, sodium, potassium, etc back to a reasonable level.  Right now, all his numbers seem pretty good in terms of his sodium, potassium, etc.  His creatine level went up a smidge but nothing astronomical.  

At 6 am, he had belly x-rays.  He is so swollen that is really hard to tell what is going on inside of him.  So the Attending Dr. came to talk with us.  She said that he got sick really fast a few days ago and she doesn't know what from.  He became swollen, his kidney's slowed down, his potassium went up at the time.  She said a day or two ago, she was really concerned about his survival and was taking it minute by minute/hour by hour with Nathan.  Now she said we need to take it day by day.  I guess that is a positive thing.  She is concerned about his puffiness so they are going to do another set of films tomorrow morning at 6 and send them over to the pediatric surgeons at Childrens hospital (right next door). She said that if the surgeons think it is a good idea and would be beneficial, to insert a drain into his GI track to hopefully get rid of some or all of the swelling.  This, in turn, will make it easier on his lungs.  This wouldn't really help his kidney's other than the fact that sometimes increased stress can slow down the kidneys but it should help his lungs.  So if the surgeons look at his films and think it is a good idea, he would get transferred to Childrens for the surgery.  We don't know if that would happen tomorrow, the next day or days from now.

We will see what tomorrow brings.  Just like when I was pregnant in the hospital, the unknowing of what the future will bring is the scariest part and that continues in the NICU.  When your little baby's life is on the line all day everyday, everyday is scary.  It will only stop being scary when he gets discharged and is strapped in a car seat on his way back to Columbus.  I know that when you're a parent, the worries never stop but it will definitely be a different kind of worry at that point.  

Hope you all had a good New Year!

Attached is just a video of him moving his sweet little hand.  The red thing is his pulse ox. 

Love you all,

Kelly, Kevin and Nathan

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